Patient 3 is a five foot four inch 110-lb 55 year-old male who has smoked for th
ID: 3511500 • Letter: P
Question
Patient 3 is a five foot four inch 110-lb 55 year-old male who has smoked for the past 38 years. He complains of shortness of breath, fatigue, and a continual cough that has recently produced bloody sputum. Patient records indicate the patient has had pneumonia twice in the last year. The doctor notes some apparent swelling of the face and neck. Patient 3 Test results: %of Expected Value 84% Respiratory Volume or Expected Value *Test Results Capacity Forced Vital Capacity (FVC) Forced Expiratory Volume after 1 second (FEV1) FEV1/FVO 3700 ml 3100 ml 3000 ml 2500 83% 80.6% 83% 103% 1. In regard to Patient 3, what do the tests results for Vital Capacity indicate? 2. What do the test results for FEV1/FVC indicate? 3. What would you expect the doctor's preliminary diagnosis to be for Patient 3? 4. What additional tests might be ordered for further assessment?Explanation / Answer
a) The test results for vital capacity of 84% indicates normal value because normal value is equal to or greater than 80%.
Abnormal is: 70 - 79%(Mild), 60 - 69%(Moderate), less than 60%(Severe).
b) Test result of FEV1/FVC of 103% indicates normal value because normal range is equal to or greater than 70%.
Abnormal is: 60 - 69%(Mild), 50 - 59%(Moderate), less than 50%(Severe).
c) Doctors preliminary Diagnosis would be of LUNG CANCER because Symptoms of lung cancer are continual cough, bloody sputum, shortness of breath, fatigue, swelling of face, neck etc, frequent and recurring lung infections like pneumonia which the patient had twice in last year, chronic smoker for 38 years.
c) Additional test for further assessments are: CT scan of lungs, MRI, PET, Sputum cytology, Lung tissue biopsy.